Organization
JESSICA JORDAN OD LLC
Active
Other names
Dr. Jessica's Eyes That Smile Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA MAYA JORDAN OD (CEO)
(808) 286-5529
Entity
Organization
Contact information
Practice address
5131 S RIDGEWOOD AVE STE A, PORT ORANGE, FL 32127-5168
(386) 222-2991
Mailing address
1648 TAYLOR RD STE 413, PORT ORANGE, FL 32128-6753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
08/03/2025
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